Pacific Dreams Institute

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 15988 Issued in CA

Legal business name

PACIFIC DREAMS INSTITUTE

Doing business as

Rosary Nancy Moreno-Derks

Practice address

77-255 Holomakani Street
Kailua Kona, HI 96740

Phone

(760) 554-4395

NPI assigned

May 16, 2011

Last updated

May 16, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rosary Nancy Moreno-Derks, MS, LMFT

Title

President

Phone

(760) 554-4395

Specialties & licenses 2

Addresses

Other names 1

• ROSARY NANCY MORENO-DERKS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1427340058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-255 HOLOMAKANI STREET",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "760-554-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-255 HOLOMAKANI STREET",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "760-554-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DREAMS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "MORENO-DERKS",
        "authorized_official_first_name": "ROSARY NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-554-4395",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "MFC 15988",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSARY NANCY MORENO-DERKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orchid Isle Wellness Center LLC
• Orn Total Health Hawaii- Aila Olakino
• Melissa D Ortega
• Charlene Alexis Ostroski, LMT
• Rachel Page Otis, LMT
• Pacific Vascular Institute-Kona
• Pualilia A Paikuli, LMT
• Christopher Adam Palacios, PA-C, MSHS
• Michael Pampalon, DMD
• Parwathi V. Paniker, M.D.

• Marriage & Family Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.